Active NPI
Eric D Sanders, DC
- Chiropractor
- Flagstaff, AZ
National Provider Identifier
1265658249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5563
- Practice address
- 323 N Agassiz St
Flagstaff, AZ 86001-4604 - Phone
- (928) 213-1437
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5563 | AZ | Primary |
| Chiropractor | 111N00000X | 952947271202 | UT |
Addresses
Primary practice location
323 N Agassiz St
Flagstaff, AZ 86001-4604
Mailing address
323 N Agassiz St
Flagstaff, AZ 86001-4604
Phone (928) 213-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5563 | AZ | MD | Chiropractor |
| 952947271202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265658249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N AGASSIZ ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014604",
"telephone_number": "928-213-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N AGASSIZ ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014604",
"telephone_number": "928-213-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ERIC",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5563",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "952947271202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.